Healthcare Provider Details

I. General information

NPI: 1316841109
Provider Name (Legal Business Name): ALIALANI YAMAFUJI OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5668 W HAILEY VIEW DR
WEST JORDAN UT
84081-3106
US

IV. Provider business mailing address

5668 W HAILEY VIEW DR
WEST JORDAN UT
84081-3106
US

V. Phone/Fax

Practice location:
  • Phone: 808-397-8746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number14312426-4201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: